Private Diagnostic Clinic, PLLC

Private Diagnostic Clinic, PLLC was paid $44K by Medicaid between Jan 2018 and Apr 2021, across 7 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 54% of everything it billed.

33Billing provider infoPRIVATE DIAGNOSTIC CLINIC, PLLC
DURHAM, NC 27703

33aNPI1285916635assigned 09/12/2011

33bProvider typeOphthalmology Physician

28Total paid$44K

24GClaims569

24DCodes billed7

24AFirst – last monthJan 2018 – Apr 2021

Compared with peers

Next to other Ophthalmology Physician providers in North Carolina

Rank by total paid#51 of 118

Median peer was paid$22K

This provider vs. median2.0×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official FREDERICK, CHRISTOPHER controls 20+ related entities in our dataset. Read more

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	177	$14K
2019	367	$29K
2020	12	$486.78
2021	13	$171.22

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S0620	Routine ophthalmological examination including refraction; new patient	54%	249	248	$24K
S0621	Routine ophthalmological examination including refraction; established patient	35%	214	214	$15K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	3.9%	34	32	$2K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.7%	15	15	$1K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	2.4%	27	24	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.1%	17	17	$904.06
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	<1%	13	12	$171.22

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialFREDERICK, CHRISTOPHER (CFO)

Same official

Other billing entities under FREDERICK, CHRISTOPHER

Full network →

Provider	Location	Paid
Private Diagnostic Clinic, PLLC	Durham, NC	$46.44M
Private Diagnostic Clinic, PLLC	Durham, NC	$4.43M
Private Diagnostic Clinic, PLLC	Durham, NC	$3.21M
Private Diagnostic Clinic, PLLC	Durham, NC	$2.94M
Private Diagnostic Clinic, PLLC	Durham, NC	$846K
Private Diagnostic Clinic, PLLC	Fayetteville, NC	$832K
Private Diagnostic Clinic, PLLC	Durham, NC	$706K
Private Diagnostic Clinic, PLLC	Durham, NC	$704K
Private Diagnostic Clinic, PLLC	Greensboro, NC	$669K
Private Diagnostic Clinic, PLLC	Raleigh, NC	$425K
Private Diagnostic Clinic, PLLC	Durham, NC	$262K
Private Diagnostic Clinic, PLLC	Raleigh, NC	$232K
Private Diagnostic Clinic, PLLC	Lumberton, NC	$216K
Private Diagnostic Clinic, PLLC	Burlington, NC	$170K
Private Diagnostic Clinic, PLLC	Raleigh, NC	$148K
Private Diagnostic Clinic, PLLC	Raleigh, NC	$87K
Private Diagnostic Clinic, PLLC	Durham, NC	$78K
Private Diagnostic Clinic, PLLC	Durham, NC	$73K
Private Diagnostic Clinic, PLLC	Laurinburg, NC	$72K
Private Diagnostic Clinic, PLLC	Raleigh, NC	$52K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.